MRCP2-3159

MRCP2-3159

A 35-year-old woman presents to the neurology clinic with a history of intermittent headaches for the past 6 months. The headaches predominantly affect the left side of her head and are accompanied by paraesthesia in her left hand, as well as occasional nausea and vomiting. The patient reports that her symptoms usually resolve after 4-6 hours. She has no significant medical history and is not taking any regular medications or has any allergies.

Upon examination, the patient’s vital signs are within normal limits. There is no sensory or coordination disturbance, and all four limbs have equal power. The cranial nerve examination is unremarkable.

What would be the most appropriate course of action for the long-term management of this patient?